<?xml version="1.0" encoding="UTF-8" ?> 

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">

<html>

    <head>
	<meta http-equiv="Content-Type" content="text/html;charset=UTF-8" />        
	<title>Tarifa Social</title>
	<link rel="stylesheet" type="text/css" href="style.tarifasocial.css" media="screen,projection" />
    </head>

    <body>
        <wicket:extend>
            
            <form wicket:id="userForm">
                <table cellpadding="2">
                    <tr>
                        <td align="right">Nombre de usuario</td>
                        <td align="left">
                            <input type="text" wicket:id="userName" class="text2" size="15" maxlength="50">
                        </td>
                    </tr>
                    <tr>
                        <td align="right">Contraseña</td>
                        <td align="left">
                            <input type="password" wicket:id="password" class="text2" size="15" maxlength="50">
                        </td>
                    </tr>
                    <tr>
                        <td align="right">Apellido</td>
                        <td align="left">
                            <input type="text" wicket:id="lastName" class="text2" size="30" maxlength="50">
                        </td>
                    </tr>
                    <tr>
                        <td align="right">Nombre(s)</td>
                        <td align="left">
                            <input type="text" wicket:id="name" class="text2" size="50" maxlength="50">
                        </td>
                    </tr>
                    <tr>
                        <td align="right">e-mail</td>
                        <td align="left">
                            <input type="text" wicket:id="email" class="text2" size="50" maxlength="100">
                        </td>
                    </tr>
                    <tr>
                        <td align="right">Institución</td>
                        <td align="left">
                            <input type="text" wicket:id="company" class="text2" size="50" maxlength="100">
                        </td>
                    </tr>
                    <tr>
                        <td align="right">Cargo</td>
                        <td align="left">
                            <input type="text" wicket:id="companyPosition" class="text2" size="50" maxlength="100">
                        </td>
                    </tr>
                    <tr>
                        <td align="right">Perfil</td>
                        <td align="left">
                            <select wicket:id="roleName" class="text2"/>
                        </td>
                    </tr>
                    <tr>
                        <td align="right">¿Es un contacto?</td>
                        <td align="left">
                            <select wicket:id="isContact" class="text2"/>
                        </td>
                    </tr>
                </table>
                <br>
                
                <input type="submit" value="Grabar" wicket:id="buttonGrabar" class="text2">
                <input type="submit" value="Cancelar" wicket:id="buttonCancel" class="text2">
            </form>
            <br>
            
            <form wicket:id="formClearPassword">
                <table>
                    <tr>
                        <td colspan="3">
                            <h2>Cambio de contraseña</h2>
                        </td>
                    </tr>
                    <tr>
                        <td align="right">Nueva contraseña</td>
                        <td>
                            <input type="password" wicket:id="newPassword" size="15" maxlength="100">
                        </td>
                        <td>
                            <input type="submit" value="Cambiar" class="text2">
                        </td>
                    </tr>
                    <tr>
                        <td colspan="3">
                            <input type="checkbox" wicket:id="inform">
                            Informar al usuario del cambio de contraseña
                        </td>
                    </tr>
                </table>
            </form>
            
        </wicket:extend>
    </body>
</html>